Peckskamp, Matthew Albert
Peckskamp, Matthew Albert is an individual health care provider with primary practice located at 1406 6Th Avenue North St Cloud Hospital, St Cloud MN 56303-1900. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Peckskamp, Matthew Albert can be contacted via phone (320) 251-2700.Contact Information
Primary practice address
1406 6Th Avenue North St Cloud Hospital
St Cloud MN 56303-1900
Phone: (320) 251-2700
Fax: (320) 656-7115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 11903 | Minnesota |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2316 | Minnesota |
Profile Details
| NPI number | 1740658814 |
|---|---|
| LBN Legal business name | Peckskamp, Matthew Albert |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2015 |
| Last updated | Apr 12th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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